CNA Basic Nursing Skills 19 2

Question 1

What is the recommended schedule for repositioning a patient who is chair-bound (sitting in a wheelchair) to prevent pressure injuries?

Accepted Answer

Every 15–30 minutes using weight shifts or position changes

Answer

Every 2 hours, same as bed-bound patients

Answer

Once every 4 hours since sitting exerts less pressure than lying

Answer

Only when the patient specifically requests a change

Question 2

A resident in a nursing home is found lying on their back with their head flat. The CNA is preparing to reposition them on their side. Which step should be done FIRST?

Accepted Answer

Wash hands and put on gloves if needed, explain the procedure to the patient, and lower the bed to a safe working height

Answer

Raise the side rail on the opposite side and roll the patient toward themselves

Answer

Move the patient immediately without explanation to avoid waking them

Answer

Call for a second caregiver before explaining anything to the patient

Question 3

Which of the following is a sign that a repositioning schedule may need to be INCREASED in frequency?

Accepted Answer

The patient asks to be repositioned more often than scheduled

Answer

The patient's skin remains intact with no redness between repositioning intervals

Answer

The current schedule is working and the patient is comfortable

Answer

The patient gained 2 pounds in the past week

Question 4

What is the 30-degree lateral tilt position used for?

Accepted Answer

To provide a lateral position that avoids placing body weight directly on the trochanter, reducing pressure ulcer risk

Answer

To help patients with dysphagia swallow more easily during meals

Answer

To assist with chest drainage in patients with pneumonia

Answer

To prevent patients from rolling out of bed at night

Question 5

A night-shift CNA finds a resident in the same position as when checked 3 hours ago. No documentation of repositioning during that time exists. What should the CNA do?

Accepted Answer

Reposition the patient, document the finding and action, and report it to the charge nurse

Answer

Reposition the patient, document the current turn, and continue the scheduled routine

Answer

Complete a full skin assessment and document that the missed turns were not their responsibility

Answer

Change the repositioning schedule to every 3 hours to match what was actually done

Question 6

What information should the CNA communicate to the oncoming shift during a handoff report related to repositioning?

Accepted Answer

Last position, time of last turn, skin condition at pressure points, and scheduled next turn time

Answer

Only if a pressure ulcer was found during the shift

Answer

General comments about whether the patient was cooperative

Answer

That the patient was turned on schedule without specific details